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1800 Anatomy mcqs - good

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Anatomy
1800 Multiple Choice Questions

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ANATOMY
1800 Multiple Choice
Questions
M J T FitzGerald, M D , PhD, DSC
Professor and Chairman, Department of Anatomy, University College,
Galway, Ireland;
Formerly Associate Professor, Department of Biological Structure,
University of Washington School of Medicine, Seattle, USA

James P Golden, MB
; FRCSI

Chief of Surgery, County Hospital, Co. Donegal, Ireland

Maeve FitzGerald, MB, BCh, BSC

Senior Lecturer, Department of Anatomy, University College,
Galway, Ireland;
Formerly of the Department of Oral Biology, University of
Washington School of Dentistry and Department of Anatomy,
St Louis University School of Medicine, Missouri, USA

Butterworths
London Boston Singapore Sydney Toronto Wellington

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PART OF REED INTERNATIONAL PLC.

All rights reserved. No part of this publication may be

reproduced in any material form (including photocopying or
storing it in any medium by electronic means and whether or
not transiently or incidentally to some other use of this
publication) without the written permission of the copyright
owner except in accordance with the provisions of the
Copyright, Designs and Patents Act 1988 or under the terms of
a licence issued by the Copyright Licensing Agency Ltd, 33-34
Alfred Place, London, England WC1E 7DP. Applications for the
copyright owner's written permission to reproduce any part of
this publication should be addressed to the Publishers.

Warning: The doing of an unauthorised act in relation to a

copyright work may result in both a civil claim for damages
and criminal prosecution.

This book is sold subject to the Standard Conditions of Sale c

Net Books and may not be re-sold in the UK below the net
price given by the Publishers in their current price list.

First published 1973

Reprinted 1975
Reprinted 1977
Reprinted 1978
Reprinted 1981
Reprinted 1984
Revised Edition 1986
Reprinted 1990

© Butterworth & Co. (Publishers) Ltd, 1986

British Library Cataloguing in Publication Data

FitzGerald, M. J . T .
Anatomy : 1800 multiple choice questions.—Rev. ed.
1. Anatomy, Human—Problems, exercises, etc.
I. Title II. G o l d e n , James P. III. FitzGerald, Maeve
611'.0076 QM32
ISBN 0-407-00341-X

Library of Congress Cataloging in Publication Data

FitzGerald, M. J . T .
Anatomy : 1800 multiple choice questions.
1. Anatomy, Human—Examinations, questions, etc.
I. G o l d e n , James P. II. FitzGerald, Maeve
[ D N L M : 1. Anatomy—examination questions.
Q S 18 F554a]
QM32.F57 1986 611'.0076 85-26902
ISBN 0-407-00341-X

Composition by Genesis Typesetting, Borough Green, Sevenoaks, Kent

Printed and bound in Great Britain by Courier International Ltd, Tiptree, Essex

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PREFACE

This book supersedes Anatomy: 1600 Multiple Choice

Questions, published by Butterworths in 1973. In addition to
being longer, it differs from that book in the following
respects: many of the Gross Anatomy questions have been
revised or substituted; the Histology section has been
substantially enlarged, and segregated from the Gross
Anatomy; Embryology has also been segregated;
Neuroanatomy has been updated; and an entirely new and
larger set of illustrations is provided.
MJTF
JPG
MF

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INSTRUCTIONS FOR
STUDENTS

The various sections of the book should be used upon

completion of the corresponding parts of your Anatomy
course.

In assessing your own performance on a particular section you

7 two categories
should bear in mind that the questions fall into
for scoring purposes. In the 'group true-false type of question
you are required to judge whether each one of the five
statements provided is true or false. In grading these answers it
is common practice to award a mark for each correct decision,
and to deduct a mark for each wrong decision. The average
score obtained by chance alone will therefore be zero.

The remaining questions belong to the second category, in

which you are required to make a selection from a number of
answers provided. A score of 20-25 per cent is to be expected
on the basis of chance.

Note on Section VIII: Histology

In this Section, the questions in each of the six standard
formats are arranged in the same sequence, as follows: the
C e l l ; the Tissues (commencing with the Epithelia and ending
with Nervous Tissue); and the Systems (commencing with the
Cardiovascular and ending with the Reproductive). Having
studied a particular topic, the student should attempt the
relevant questions within each format.

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CONTENTS
I Upper Limb 1
Questions 1-185 1
Answers 1-185 22

II Lower Limb 24
Questions 1-170 24
Ahswers 1-170 44

III Thorax 46
Questions 1-115 46
Answers 1-115 59

IV Abdomen 60
Questions 1-118 60
Answers 1-118 73

V Pelvis and Perineum 74

Questions 1-112 74
Answers 1-112 85

VI Head and Neck 86

Questions 1-239 86
Answers 1-239 112

VII Nervous System 114

Questions 1-181 114
Answers 1-181 139

VIII Histology 141

Questions 1-558 141
Answers 1-558 188

IX Embryology 193
Questions 1-122 193
Answers 1-122 210

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I UPPER LIMB

Questions 1-39

For each of the following multiple choice questions select the one
most appropriate answer:

1. The spine of the scapula is continued laterally as the:

A Coracoid porcess
B Angle of the scapula
C Infraglenoid tubercle
D Supraglenoid tubercle
E Acromion

2. Muscle attached to the coracoid process of scapula:

A Biceps
B Triceps
C Pectoralis major
D Deltoid
E Serratus anterior

3. Vein which pierces the clavipectoral fascia:

A Basilic
B Lateral pectoral
C Internal thoracic
D Axillary
E Cephalic

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4. The axillary vein:

A Is lateral to the axillary artery
B Is devoid of valves
C Lies anterior to pectoralis minor
D Is directly continuous with the brachiocephalic vein
E None of the above

5. Branch of the axillary artery:

A Suprascapular
B Transverse cervical
C Lateral thoracic
D Nutrient artery to humerus
E Internal thoracic

6. Origin from lateral cord of brachial plexus:

A Axillary nerve
B Ulnar nerve
C Lateral cutaneous nerve of forearm
D Musculocutaneous nerve
E Suprascapular nerve

7. The humerus may be rotated laterally by:

A Subscapulars
B Supraspinatus
C Pectoralis major
D Deltoid
E None of the above

8. The muscle pair responsible for abducting the humerus to a

right angle:
A Deltoid and subscapularis
B Deltoid and supraspinatus
C Supraspinatus and subscapularis
D Teres major and subscapularis
E Deltoid and teres major

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9. Abduction of the humerus is initiated by:

A Supraspinatus
B Infraspinatus
C Deltoid
D Pectoralis minor
E Trapezius

10. The muscle pair which assists in elevating the arm above the
head:
A Trapezius and pectoralis minor
B Levator scapulae and serratus anterior
C Rhomboid major and serratus anterior
D Rhomboid major and levator scapulae
E Trapezius and serratus anterior

11. Muscle(s) supplied by the axillary nerve:

A Latissimus dorsi
B Deltoid
C Infraspinatus
D Teres major
E All of the above

12. The shoulder joint is weakest:

A Above
B Below
C In front
D Behind
E Laterally

13. Nerve(s) supplying shoulder joint:

A Radial
B Lateral pectoral
C Axillary
D Suprascapular
E All of the above

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14. The nerve trunk most intimately related to the capsule of the
shoulder joint is:
A Radial
B Axillary
C Median
D Ulnar
E Musculocutaneous

15. The following muscles belong to the 'rotator cuff group

except:
A Subscapularis
B Deltoid
C Supraspinatus
D Infraspinatus
E Teres minor

16. Muscles having an intracapsular tendon:

A Long head of biceps
B Short head of biceps
C Coracobrachialis
D Long head of triceps
E None of the above

17. In contact with medial wall of axilla:

A Medial root of median nerve
B Medial cord of brachial plexus
C Ulnar nerve
D Medial pectoral nerve
E Nerve to serratus anterior

18. Muscle inserted into medial lip of intertubercular sulcus:

A Teres major
B Teres minor
C Pectoralis major
D Pectoralis minor
E Latissimus dorsi

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19. The apex of the cubital fossa is formed by:

A Brachioradialis and pronator teres
B Brachialis and pronator teres
C Brachioradialis and biceps brachii
D Biceps brachii and supinator
E Brachioradialis and supinator

20. The lateral cutaneous nerve of the forearm is derived from

the — nerve:
A Musculocutaneous
B Median
C Ulnar
D Radial
E Axillary

21. Usual level of bifurcation of the brachial artery:

A Middle of arm
B Just above the elbow
C Level of intercondylar line
D Level of elbow joint line
E Neck of radius

22. An important supinator muscle:

A Biceps brachii
B Brachialis
C Triceps
D Brachioradialis
E Flexor carpi radialis

23. Supplied by the ulnar nerve in the forearm:

A Flexor carpi radialis
B Flexor carpi ulnaris
C Extensor carpi radialis
D Extensor carpi ulnaris
E Flexor pollicis longus

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24. Tendon directly medial to dorsal (Lister's) tubercle of radius:

A Extensor pollicis brevis
B Extensor pollicis longus
C Extensor indicis
D Extensor carpi radialis longus
E Extensor carpi radialis brevis

25. Directly behind palmaris longus at the wrist:

A Flexor carpi radialis
B Flexor pollicis longus
C Ulnar artery
D Radial artery
E Median nerve

26. The carpal bones articulating with the radius are:

A Scaphoid and pisiform
B Lunate and pisiform
C Lunate and trapezium
D Lunate and scaphoid
E Scaphoid and capitate

27. The triangular fibrocartilage:

A Is attached to styloid process of radius
B Separates synovial cavities of radiocarpal and
inferior radio-ulnar joint
C Articulates with lunate bone when wrist is adducted
D Is stationary during pronation and supination
E Is commonly absent

28. Artery usually palpable in the floor of the 'anatomical snuff

box':
A Princeps pollicis
B Radialis pollicis
C Radialis indicis
D Radial
E Palmar branch of radial

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29. Liable to dislocation in a heavy fall on the hand:

A Scaphoid
B Lunate
C Triquetral
D Pisiform
E Hamate

30. Digital synovial sheath(s) in communication with ulnar bursa:

A Index
B Middle finger
C Ring finger
D Little finger
E All the above

31. In the carpal tunnel:

A Ulnar nerve
B Median nerve
C Radial nerve
D Ulnar artery
E Radial artery

32. Carpal bones visible in radiograph of newborn:

A None
B Two
C Four
D Six
E Eight

33. Metacarpal bone with epiphysis at proximal end:

A First
B Second
C Third
D Fourth
E Fifth

34. Abduction of the thumb carries it:

A Forwards away from the palm
B Backwards to the side of the palm
C Towards the index finger
D Laterally, away from the index finger
E In a direction intermediate between A and D

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35. Number of muscles inserted on index finger:

A Three
B Four
C Five
D Six
E Seven

36. In the hand, the median nerve supplies:

A Abductor pollicis brevis
B Adductor pollicis
C First palmar interosseous
D Abductor pollicis longus
E Extensor indicis

37. The innervation of the lumbrical muscles is related to the

innervation of:
A Flexor digitorum superficialis
B Flexor digitorum profundus
C Extensor digitorum
D The interossei
E The two flexor carpi muscles

38. The skin of the index finger is supplied by:

A Ulnar and radial nerves
B Radial and median nerves
C Median and ulnar nerves
D Median only
E Radial only

39. The skin of the palm is supplied by:

A Ulnar and median nerves
B Radial and median nerves
C Radial and ulnar nerves
D Ulnar nerve alone
E Radial nerve alone

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Questions 40-61

The set of lettered headings below is followed by a list of

numbered words or phrases. For each numbered word or phrase
select the correct answer under:
A If the item is associated with A only
B If the item is associated with B only
C If the item is associated with both A and B
D If the item is associated with neither A nor B

A Deltoid
B Trapezius
C Both
D Neither

40. Attached to spine of scapula

41. Can elevate the shoulder
42. Supplied by the axillary nerve
43. Can retract the scapula

A Supinator of forearm
B Flexor of elbow
C Both
D Neither

44. Biceps brachii

45. Triceps brachii
46. Pronator teres
47. Brachialis
48. Coracobrachialis

A Biceps
B Brachialis
C Both
D Neither

49. Origin from humerus

50. Insertion into radius
51. Blood supply from brachial artery
52. Motor supply from median nerve

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A Anterior interosseous nerve

B Posterior interosseous nerve
C Both
D Neither

53. Pierces supinator muscle

54. Derived from ulnar nerve
55. Sensory to wrist joint
56. Extensive cutaneous distribution

A Flexor of wrist
B Flexor of index finger
C Both
D Neither

57. Flexor carpi radialis

58. Flexor carpi ulnaris
59. Flexor digitorum superficialis
60. Flexor digitorum profundus
61. Palmaris longus

Questions 6 2 - 7 9
Directions: In the following series of questions, one or more of
the four items is/are correct.
Answer A if 1, 2 and 3 are correct
B if 1 and 3 are correct
C if 2 and 4 are correct
D if only 4 is correct
and E if all four are correct

62. Muscles arising from the clavicle include:

1. Pectoralis major
2. Trapezius
3. Deltoid
4. Subclavius

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11

63. The weight of the upper limb is transmitted to the trunk via
the:
1. Trapezius muscle
2. Coracoclavicular ligaments
3. Clavicle
4. Deltoid muscle

64. Division of the long thoracic nerve is manifested by:

1. Inability to retract the scapula
2. Wasting of the pectoralis major muscle
3. Weakness of humeral adduction
4. 'Winging' of the scapula

65. Bursa(e) in communication with the shoulder joint synovial

cavity:
1. Subacromial
2. Supraspinatus
3. Infraspinatus
4. Subscapular

66. Origin from medial epicondyle of humerus:

1. Flexor carpi radialis
2. Palmaris longus
3. Pronator teres
4. Flexor carpi ulnaris

67. Hinge joint(s):

1. Humero-ulnar
2. Metacarpophalangeal
3. Interphalangeal
4. Wrist

68. The flexor carpi radialis muscle:

1. Is a flexor of the wrist
2. Is an abductor of the wrist
3. Is supplied by the median nerve
4. Grooves the trapezoid bone

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69. Brachioradialis muscle:

1. Arises from lateral supracondylar line
2. Inserts into distal end of radius
3. Is a flexor of elbow joint
4. Is supplied by the median nerve

70. The posterior interosseous nerve:

1. Passes between the radius and ulna
2. Lies on the interosseous membrane throughout its
course
3. Is cutaneous to the back of the hand
4. Supplies the extensor digitorum muscle

71. The ulnar nerve usually supplies:

1. The medial half of flexor digitorum superficialis
2. The lumbrical to the little finger
3. The abductor pollicis brevis
4. The first dorsal interosseous muscle

72. Joint(s) containing intra-articular fibrocartilage:

1. Sternoclavicular
2. Temporomandibular
3. Acromioclavicular
4. Fi rst carpometacarpal

73. Muscle(s) supplied by anterior interosseous nerve:

1. Flexor digitorum profundus
2. Flexor pollicis longus
3. Pronator quadratus
4. Pronator teres

74. Bony attachment(s) of the flexor retinaculum:

1. Scaphoid
2. Trapezium
3. Hamate
4. Pisiform

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13

75. Give(s) arterial contribution to deep palmar arch:

1. Main radial artery
2. Main ulnar artery
3. Deep branch of ulnar artery
4. Superficial branch of radial artery

76. Muscles innervated by the median nerve include:

1. Palmaris brevis
2. Opponens pollicis
3. Adductor pollicis
4. First lumbricai

77. Extension of thumb is aided by:

1. First lumbricai
2. First palmar interosseous
3. First dorsal interosseous
4. Abductor pollicis longus

78. Articulates with the hamate bone:

1. Capitate
2. Triquetral
3. Fifth metacarpal
4. Fourth metacarpal

79. Interossei inserted into middle finger:

1. Second palmar
2. Second dorsal
3. Third palmar
4. Third dorsal

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